BONNIE THERESA GLEASON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

BONNIE

Middle

THERESA

Last Name

GLEASON

Business Name

BONNIE THERESA GLEASON MD

Original Issue Date

03/24/2023

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

ALPHARETTA

State

Zip

30009

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023